Catheter with soft distal tip for mapping and ablating tubular region

Abstract

A catheter includes an elongated body having a longitudinal axis, a distal assembly distal the elongated body, the distal assembly having a tapered helical form comprising a larger, electrode-carrying proximal loop and a smaller, softer distal loop, and a shape-memory support member extending through at least the proximal loop. For example, the helical loop subtends at least about 720 radial degrees, with the proximal loop subtending about 360 radial degrees, and the distal loop subtending about 360 radial degrees. The softer distal loop with a straight distal end atraumatically guides the distal assembly into a tubular region so that the larger proximal loop can sit on the ostium of the tubular region with improved electrode and tissue contact.

What is claimed is: 
     
       1. A catheter comprising:
 an elongated body having a longitudinal axis; 
 a distal assembly distal the elongated body, the distal assembly having a helical form comprising a proximal loop and a distal loop, and a shape-memory support member extending through at least the proximal loop, the proximal loop and the distal loop being oriented obliquely at an angle relative to the longitudinal axis of the elongated body; 
 at least one irrigated ablation ring electrode mounted on the proximal loop; 
 a control handle proximal the elongated body; and 
 a contraction wire having a proximal end in the control handle and a distal end anchored in the proximal loop, the control handle including a first control member configured to actuate the contraction wire to contract the proximal loop, 
 wherein the proximal loop has a first flexibility and the distal loop has a second flexibility, and the second flexibility is greater than the first flexibility. 
 
     
     
       2. A catheter of  claim 1 , wherein the helical form subtends at least about 720 radial degrees. 
     
     
       3. A catheter of  claim 1 , wherein the helical form subtends about 765 radial degrees. 
     
     
       4. The catheter of  claim 1 , wherein the proximal loop subtends about 360 radial degrees. 
     
     
       5. The catheter of  claim 1 , wherein the distal loop subtends about 360 radial degrees. 
     
     
       6. The catheter of  claim 1 , wherein the distal assembly includes a generally straight distal end distal of the distal loop. 
     
     
       7. The catheter of  claim 6 , wherein the generally straight distal end is on-axis relative to the longitudinal axis of the elongated body. 
     
     
       8. The catheter of  claim 1 , wherein the proximal loop has a first radius and the distal loop has a second radius, and the first radius is greater than the second radius. 
     
     
       9. The catheter of  claim 1 , wherein the proximal loop and the distal loop are on-axis relative to the longitudinal axis of the elongated body. 
     
     
       10. The catheter of  claim 1 , wherein the oblique angle ranges between about 45 degrees to 105 degrees. 
     
     
       11. The catheter of  claim 1 , wherein the oblique angle ranges between about 75 to 105 degrees. 
     
     
       12. The catheter of  claim 1 , wherein the oblique angle is about 90 degrees. 
     
     
       13. The catheter of  claim 1 , wherein the proximal loop includes between about eight to twenty electrodes. 
     
     
       14. The catheter of  claim 1 , wherein the proximal loop includes about ten electrodes. 
     
     
       15. The catheter of  claim 1 , wherein the proximal loop includes about six electrodes spanning about 180 radial degrees. 
     
     
       16. The catheter of  claim 1 , further comprising at least one impedance recording ring electrode mounted on the proximal loop adapted to measure impedance. 
     
     
       17. The catheter of  claim 1 , further comprising at least one bi-polar recording ring electrode mounted on the proximal loop adapted to measure PV potentials. 
     
     
       18. The catheter of  claim 1 , further comprising a deflection wire extending through the elongated body, wherein the control handle includes a second control member configured to actuate the deflection wire to deflect a portion of the elongated body. 
     
     
       19. The catheter of  claim 1 , wherein the helical form further comprises a generally straight distal end section distal the distal loop, the generally straight distal end section being on-axis with the longitudinal axis of the elongated body.